# MANITO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316492671
- **Authorized official:** DR. MITCHELL J ORSI DDS (DENTIST/OWNER)
- **Authorized official phone:** (509) 456-8676

## Contact information

- **Practice address:** 3615 S GRAND BLVD, SPOKANE, WA 99203-2624
- **Practice address phone:** (509) 456-8676
- **Practice address fax:** (509) 456-8678
- **Mailing address:** 3615 S GRAND BLVD, SPOKANE, WA 99203-2624
- **Mailing address phone:** (509) 456-8676
- **Mailing address fax:** (509) 456-8678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6172 | WA | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 08/16/2016